Sheffield Alex, Waller Glenn, Emanuelli Francesca, Murray James, Meyer Caroline
Vincent Square Clinic, Central and North West London NHS Foundation Trust, London, UK.
Eur Eat Disord Rev. 2009 Jul;17(4):290-300. doi: 10.1002/erv.922.
Adverse parenting experiences are commonly linked to eating pathology. A schema-based model of the development and maintenance of eating pathology proposes that one of the potential mediators of the link between parenting and eating pathology might be the development of schema maintenance processes--mechanisms that operate to help the individual avoid intolerable emotions.
To test this hypothesis, 353 female students and 124 female eating-disordered clients were recruited. They completed a measure of perceived parenting experiences as related to schema development (Young Parenting Inventory-Revised (YPI-R)), two measures of schema processes (Young Compensatory Inventory; Young-Rygh Avoidance Inventory (YRAI)) and a measure of eating pathology (Eating Disorders Inventory (EDI)).
In support of the hypothesis, certain schema processes did mediate the relationship between specific perceptions of parenting and particular forms of eating pathology, although these were different for the clinical and non-clinical samples.
In those patients where parenting is implicated in the development of eating pathology, treatment might need to target the cognitive processes that can explain this link.
不良养育经历通常与饮食病理学相关。一种基于图式的饮食病理学发展和维持模型提出，养育与饮食病理学之间联系的潜在中介因素之一可能是图式维持过程的发展，即帮助个体避免难以忍受情绪的机制。
为了验证这一假设，招募了353名女学生和124名患有饮食失调症的女性患者。她们完成了一项与图式发展相关的感知养育经历测量（修订后的杨氏养育量表（YPI-R））、两项图式过程测量（杨氏补偿量表；杨氏-赖格回避量表（YRAI））以及一项饮食病理学测量（饮食失调量表（EDI））。
为支持该假设，某些图式过程确实介导了特定养育观念与特定形式饮食病理学之间的关系，尽管临床样本和非临床样本的情况有所不同。
在那些养育与饮食病理学发展有关的患者中，治疗可能需要针对能够解释这种联系的认知过程。
